text: The narrow range of treatable diseases or "spectrum of activity" of the penicillins, along with the poor activity of the orally active penicillin V, led to the search for derivatives of penicillin that could treat a wider range of infections. The isolation of 6-APA, the nucleus of penicillin, allowed for the preparation of semisynthetic penicillins, with various improvements over benzylpenicillin. Ampicillin was developed by the Beecham Research Laboratories in London. When introduced to clinical use in 1961 it was the first semisynthetic penicillin that could be taken orally that was effective against both Gram-negative and Gram-positive organisms. It was more advantageous than the original penicillin as it offered a broader spectrum of activity against both Gram-positive and Gram-negative bacteria, whereas the original was only effective against Gram-positive.
  Further development yielded β-lactamase-resistant penicillins, including flucloxacillin, dicloxacillin, and methicillin. These were significant for their activity against β-lactamase-producing bacterial species, but were ineffective against the MRSA strains.
  Another development of the line of penicillins was the antipseudomonal penicillins, such as carbenicillin, ticarcillin, and piperacillin, useful for their activity against Gram-negative bacteria. The usefulness of the β-lactam ring was such that related antibiotics, including the mecillinams, the carbapenems and, most important, the cephalosporins, still retain it at the centre of their structures.
  β-lactam penicillins became the most widely used antibiotics in the world. Amoxicillin, a semisynthetic penicillin developed by Beecham Research Laboratories in 1970, was the most commonly used of all. In the early 21st century, antibiotic preferences differed from country to country: in Europe, amoxicillin was widely used in the UK and Germany; France, Italy and Spain preferred broad-spectrum combinations like co-amoxiclav; and the Scandinavian countries relied on narrow-spectrum penicillin V.